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Organization
WESLEY MANOR RETIREMENT COMMUNITY INC.
Active
Organization
WESLEY MANOR RETIREMENT COMMUNITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK GREGORY STEPHENS (VP ADMIN CFO)
(502) 969-3277
Entity
Organization
Contact information
Practice address
5012 E MANSLICK RD, LOUISVILLE, KY 40219-5165
(502) 969-3277
(502) 969-3270
Mailing address
5012 E MANSLICK RD, LOUISVILLE, KY 40219-5165
(502) 969-3277
(502) 969-3270
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100230
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12500609
—
KY
Enumeration date
12/29/2005
Last updated
03/07/2012
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